Healthcare Provider Details

I. General information

NPI: 1124567326
Provider Name (Legal Business Name): LINDSAY M JOBE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY M WILLIAMS FNP-C

II. Dates (important events)

Enumeration Date: 02/21/2017
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 N LINCOLN ST
GREENSBURG IN
47240-1348
US

IV. Provider business mailing address

718 N LINCOLN ST
GREENSBURG IN
47240-1348
US

V. Phone/Fax

Practice location:
  • Phone: 812-614-0469
  • Fax:
Mailing address:
  • Phone: 812-222-3627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71006899B
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28190879A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71006899A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: